Roseamonas gilardii Bacteremia in a Patient With HbSβ0-thalassemia: Clinical Implications and Literature Review.

Authors:
Joshua D Bernstock
Joshua D Bernstock
Columbia University College of Physicians and Surgeons
United States
Claudette Poole
Claudette Poole
University of Alabama at Birmingham
Birmingham | United States
Jeffrey Lebensburger
Jeffrey Lebensburger
University of Alabama at Birmingham
United States
Gregory K Friedman
Gregory K Friedman
University of Alabama at Birmingham
United States

J Pediatr Hematol Oncol 2019 Apr 3. Epub 2019 Apr 3.

Department of Pediatrics, Division of Pediatric Hematology and Oncology.

Roseamonas gilardii is a gram-negative coccobacillus identified in immunocompromised pediatric patients. A 5-year-old male with a history of HbSβ thalassemia status postsurgical splenectomy presented to the emergency department with fever. Blood cultures grew R. gilardii at 63 hours, but the patient had been discharged home at 48 hours. The patient was readmitted for repeat cultures and initiated on meropenem for 10 days as Roseamonas spp. are often resistant to third generation cephalosporins. R. gilardii is a rare cause of bacteremia in immunocompromised patients. Clinicians should consider Roseamonas in slow growing gram-negative rod bacteremias, and consider meropenem as empiric coverage.

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Source
http://dx.doi.org/10.1097/MPH.0000000000001476DOI Listing
April 2019
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